Extendicare Health Facilities, Inc.
NPI #1730251463 in Lake Mills, Wisconsin
Provider Information
- NPI Number
- 1730251463
- Entity Type
- Organization
- Organization Name
- Extendicare Health Facilities, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 901 MULBERRY ST
- City
- Lake Mills
- State
- Wisconsin
- ZIP Code
- 53551-1335
- Phone
- (920) 648-8344
Authorized Official
- Name
- DONNA JO MAASSEN
- Title
- DIRECTOR OF COMPLIANCE
- Phone
- (414) 908-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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